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NPI Code Detail

MEDICARE: MR. DAVID T NILL MD

MEDICARE: MR. DAVID T NILL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD 110354MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528053543
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID T NILL MD
Provider Business Mailing Address
First Line : 2901 ROCKCREEK PKWY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64117-2536
Country : US
Telephone Number : 816-201-2273
Fax Number : 816-571-6215
Provider Business Practice Location Address
First Line : 2901 ROCKCREEK PKWY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64117-2536
Country : US
Telephone Number : 816-201-2273
Fax Number : 816-571-6215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2005
Last Update Date : 07/08/2007

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